蛛网膜下腔出血后脑血管痉挛的治疗进展  

Advances of Treatment in Cerebral Vasospasm after Subarachnoid Haemorrhage

作　　者：姜宗飞[1] 杨文平[2] 张新定[3] 

机构地区：[1]兰州大学第二临床医学院,兰州730030 [2]兰州大学第一临床医学院,兰州730000 [3]兰州大学第二医院神经外科,兰州730030

出　　处：《医学综述》2011年第16期2458-2460,共3页Medical Recapitulate

摘　　要：脑血管痉挛是很多蛛网膜下腔出血(SAH)患者的严重并发症,并能够导致迟发性缺血性神经功能障碍,发病率和病死率均很高。目前有关SAH的影像诊断、内科处理及外科干预均取得了进步,这种潜在致死性的疾病的诊断及处理效果必然明显提高。对于本病采用的是综合性治疗,包括手术、钙阻滞剂、罂粟碱、3H疗法等。现就该领域的一些新的、前沿的治疗方式进行概述。Cerebral vasospasm is the seriously complication for many patients who have subarachnoid haemorrhage（SAH）and can lead to delayed ischaemic neurological deficit.Morbidity and mortality rates of vasospasm are high.Advances occurred in the areas of diagnostic imaging,medical management and surgical intervention,related to aneurysmal SAH.Interested physicians must become aware of these and other advances to diagnose and manage this potentially lethal disorder more effectively.Current management of the condition consist of maximal therapy,including surgery,calcium antagonists,papaverine,triple H regimen and so on.This review provides an update of new and culting-edge treatment modalities in this rapidly evolving field.

关 键 词：蛛网膜下腔出血 脑血管痉挛 尼莫地平 罂粟碱 3H疗法 

分 类 号：R743[医药卫生—神经病学与精神病学]